| Barda Leavitt Ph.d. Pllc | |
|
2 Beech St Unit 1a Hallowell ME 04347-1520 | |
| (207) 622-3559 | |
| Not Available |
| Full Name | Barda Leavitt Ph.d. Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2 Beech St Unit 1a, Hallowell, Maine |
| Authorized Official Name and Position | Barda L Leavitt (PSYCHOLOGIST) |
| Authorized Official Contact | 2076223559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barda Leavitt Ph.d. Pllc Po Box 5272 Augusta ME 04332-5272 Ph: (207) 622-3559 | Barda Leavitt Ph.d. Pllc 2 Beech St Unit 1a Hallowell ME 04347-1520 Ph: (207) 622-3559 |
| NPI Number | 1962160341 |
|---|---|
| Provider Enumeration Date | 12/02/2021 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962160341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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